Bilateral Recurrent Laryngeal Nerve Palsy following Total Thyroidectomy in Triple A Syndrome, an Unexpected but Critical Complication

Autor:	Marc-Antoine Poulin, Danielle Beaudoin, Mathieu Chamberland
Jazyk:	angličtina
Rok vydání:	2021
Předmět:	medicine.medical_specialty Palsy business.industry Case Report General Medicine Disease Triple-A syndrome medicine.disease Malignancy Alacrima Surgery Otorhinolaryngology RF1-547 medicine Adrenal insufficiency business Complication Polyneuropathy
Zdroj:	Case Reports in Otolaryngology, Vol 2021 (2021) Case Reports in Otolaryngology
ISSN:	2090-6773
Popis:	Introduction. Triple “A” syndrome (TAS) is a rare autosomal recessive disorder that presents in childhood with achalasia cardia, alacrima, ACTH-resistant adrenal insufficiency, with sensorimotor and autonomic polyneuropathy developing later in the course of the disease. Case Presentation. An adult white male affected by this syndrome underwent an uneventful total thyroidectomy for malignancy and suffered delayed bilateral recurrent laryngeal nerve palsy in the early postoperative hours. The palsy spontaneously resolved after a five-week course. Conclusion. Given the rarity of this severe condition and the absence of surgical or medical causes identifiable, there is possibility that it is the neurological involvement caused by TAS that predisposed the patient to this adverse outcome, precipitated by standard manipulations during surgery.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::edb9b72fb7e28e0a946cdf8f671eacde https://doaj.org/article/7bd1e22ab22440a790c9e9d717f4fdf9 Zobrazit plný text záznamu Plný text